Provider Demographics
NPI:1649764184
Name:SLEEP MEDICINE THERAPIES, LLC
Entity Type:Organization
Organization Name:SLEEP MEDICINE THERAPIES, LLC
Other - Org Name:SLEEP MEDICINE THERAPIES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAGATI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-219-3365
Mailing Address - Street 1:721 BOARDMAN POLAND RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5105
Mailing Address - Country:US
Mailing Address - Phone:330-980-9225
Mailing Address - Fax:330-800-2103
Practice Address - Street 1:721 BOARDMAN POLAND RD STE 100A
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-5105
Practice Address - Country:US
Practice Address - Phone:330-980-9225
Practice Address - Fax:330-800-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
30.0157371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty